# NORTH SUBURBAN OPHTHALMOLOGISTS, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346463429
- **Authorized official:** DR. FREDERICK ALBERT SCELZO M.D. (VICE-PRESIDENT)
- **Authorized official phone:** (847) 724-5608

## Contact information

- **Practice address:** 2150 PFINGSTEN RD, SUITE 2240, GLENVIEW, IL 60026-1361
- **Practice address phone:** (847) 724-5608
- **Practice address fax:** (847) 724-8653
- **Mailing address:** 2150 PFINGSTEN RD, SUITE 2240, GLENVIEW, IL 60026-1361
- **Mailing address phone:** (847) 724-5608
- **Mailing address fax:** (847) 724-8653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 02/06/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1615899 | BLUE CROSS BLUE SHIELD | IL |